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Common carotid artery pseudoaneurysm formation following foreign body ingestion

Published online by Cambridge University Press:  11 December 2009

N N Mathur
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, B P Koirala Institute of Health Science, Dharan, Nepal
R R Joshi*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, B P Koirala Institute of Health Science, Dharan, Nepal
A Nepal
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, B P Koirala Institute of Health Science, Dharan, Nepal
R K Rauniyar
Affiliation:
Department of Radiology, B P Koirala Institute of Health Science, Dharan, Nepal
*
Address for correspondence: Dr Rupesh Raj Joshi, Assistant Professor, Department of Otorhinolaryngology and Head and Neck Surgery, B P Koirala Institute of Health Science, Dharan, Nepal. E-mail: dr.joshirupesh@yahoo.com

Abstract

Objective:

To report an unusual case of pseudoaneurysm formation following ingestion of a thin wire.

Method:

Case report, including management, and review of the world literature concerning pseudoaneurysm and its management.

Results:

A 15-year-old boy presented as an emergency with a two-week history of painful swallowing, and a one-week history of a progressively enlarging, right-sided swelling of the lower neck. A foreign body had been ingested two weeks previously. Radiological investigation showed a pseudoaneurysm of the right common carotid artery. The neck was explored, the foreign body removed and the common carotid artery repaired. The patient was discharged on the 10th post-operative day without neurovascular complication.

Conclusion:

This is an unusual presentation of pseudoaneurysm of the common carotid artery following accidental ingestion of a foreign body, reported for its rarity and management.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2009

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